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Fujikawa H, Hayashi M, Son D, Kondo K, Eto M. Translating, adapting, and validating the medical student version of the patient care ownership scale for use in Japan. BMC MEDICAL EDUCATION 2024; 24:706. [PMID: 38943114 PMCID: PMC11214203 DOI: 10.1186/s12909-024-05704-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 06/24/2024] [Indexed: 07/01/2024]
Abstract
BACKGROUND Patient care ownership (PCO) among medical students is a growing area in the field of medical education. While PCO has received increasing attention, there are no instruments to assess PCO in the context of Japanese undergraduate medical education. This study aimed to translate, culturally adapt, and validate the PCO Scale - Medical students (PCOS-S) in the Japanese context. METHODS We collected survey data from fifth- and sixth-grade medical students from five different universities varying in location and type. Structural validity, convergent validity, and internal consistency reliability were examined. RESULTS Data from 122 respondents were analyzed. Factor analysis of the Japanese PCOS-S revealed three factors with Cronbach's alpha values exceeding the satisfactory criterion (0.70). A positive correlation was observed between the total Japanese PCOS-S scores and the global rating scores for the clinical department as a learning environment (Pearson's correlation coefficient = 0.61). CONCLUSIONS We conducted the translation of the PCOS-S into Japanese and assessed its psychometric properties. The Japanese version has good reliability and validity. This instrument has potential value in assessing the development of medical students' PCO.
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Affiliation(s)
- Hirohisa Fujikawa
- Center for General Medicine Education, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
| | - Mikio Hayashi
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
- Center for Health Professions Education, Kansai Medical University, Hirakata, Osaka, Japan
- Master of Medical Sciences in Medical Education, Harvard Medical School, Boston, MA, USA
| | - Daisuke Son
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
- Department of Community-based Family Medicine, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan
| | - Kayo Kondo
- School of Modern Languages and Cultures, Durham University, Durham, UK
| | - Masato Eto
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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Felsypremila G, Muthu MS, Nirmal L, Vignesh KC, Deshpande AN, Lele GS, Bahal RK, Mathur VP, Saha S, Marwah N, Anandakrishna L. Impact of Implementing Psychological Ownership in Undergraduate Dental Clinical Training: A Retrospective Study. Int J Clin Pediatr Dent 2024; 17:279-284. [PMID: 39144510 PMCID: PMC11320794 DOI: 10.5005/jp-journals-10005-2769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/16/2024] Open
Abstract
Purpose The idea of psychological ownership (PO) has been utilized in a variety of contexts, but the significance and lessons learned from using PO in dental clinical education have not been investigated. A detailed long-term study of PO in dental clinical education will allow us to understand the effectiveness of this practice. The purpose of this paper is to compare undergraduate (UG) student's clinical performance before and after the PO system was implemented. Materials and methods A retrospective study was conducted with around 70-80 students in an academic year from June 2012 to June 2019. Through ownership quality, four-handed dentistry, observation and assistance, supply of must-haves, and measurable outcomes, the clinical performance of students in pre- and post-PO systems was compared. Results The quantum of overall clinical procedures performed by the UG students was 8,214 and 13,753 in pre-PO and post-PO, respectively. Chi-squared tests performed unveil that there exists a statistically significant difference in the quantum of clinical procedures performed by UG after the implementation of PO. Conclusion The results of our study clearly state that there was a significant increase in the quantum of clinical procedures performed by UG students after the implementation of the PO system. How to cite this article Felsypremila G, Muthu MS, Nirmal L, et al. Impact of Implementing Psychological Ownership in Undergraduate Dental Clinical Training: A Retrospective Study. Int J Clin Pediatr Dent 2024;17(3):279-284.
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Affiliation(s)
- Gnanasekaran Felsypremila
- Department of Clinical Research, Sri Ramachandra Faculty of Clinical Research, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
| | - MS Muthu
- Department of Pediatric and Preventive Dentistry, Centre for Early Childhood Caries Research (CECCRe), Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India; Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
| | - Latha Nirmal
- Department of Pediatric and Preventive Dentistry, Centre for Early Childhood Caries Research (CECCRe), Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
| | - Krishnapillai Chandrababu Vignesh
- Department of Pediatric and Preventive Dentistry, Centre for Early Childhood Caries Research (CECCRe), Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
| | - Anshula N Deshpande
- Department of Pediatric and Preventive Dentistry, KM Shah Dental College & Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India
| | - Gauri S Lele
- Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al Ahsa, Kingdom of Saudi Arabia, United Arab Emirates
| | - Richa K Bahal
- Department of Pediatric and Preventive Dentistry, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Vijay P Mathur
- Division of Pedodontics and Preventive Dentistry, Centre for Dental Education & Research, WHO Collaborating Centre for Oral Health Promotion, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - Sonali Saha
- Department of Pediatric and Preventive Dentistry, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Nikhil Marwah
- Department of Pediatric and Preventive Dentistry, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Latha Anandakrishna
- Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
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Gunderman P, Gunderman R. Challenges and Opportunities for Ownership in Radiology Residency. Acad Radiol 2023; 30:1462-1464. [PMID: 37003876 DOI: 10.1016/j.acra.2023.02.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 02/27/2023] [Accepted: 02/28/2023] [Indexed: 04/03/2023]
Affiliation(s)
- Peter Gunderman
- Department of Radiology and Imaging Sciences, Indiana University School of Medicine (P.G., R.G.).
| | - Richard Gunderman
- Department of Radiology and Imaging Sciences, Indiana University School of Medicine (P.G., R.G.)
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Thomas DC, Frambach JM, Teunissen PW, Goldberg T, Smeenk FWJM. Learning in Tension: A Case Study Examining What Internal Medicine Residents Learn in the Ambulatory Care Setting. PERSPECTIVES ON MEDICAL EDUCATION 2023; 12:41-49. [PMID: 36908741 PMCID: PMC9997111 DOI: 10.5334/pme.443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 12/17/2022] [Indexed: 05/05/2023]
Abstract
Introduction Medical care of patients with complex conditions has shifted to the ambulatory setting, whereas current knowledge of resident learning is primarily based on studies from inpatient settings. Preparing trainees to adapt to this shift necessitates an understanding of what internal medicine (IM) residents currently learn during ambulatory rotations. The aim of this study is to identify what residents learn during their ambulatory care experience. Methods Using a qualitative instrumental case study design, the authors conducted separate focus groups with IM trainees (n = 15), supervisors (n = 16), and program directors (n = 5) from two IM programs in New York City, USA in 2019. Participants were invited via email, and focus group sessions were complemented by document analysis of ambulatory syllabi. Results Based on focus group commentary and document analysis, content learned in the ambulatory setting encompassed three domains; 1) patient needs, 2) the resident's role within a healthcare team, and 3) health system opportunities and limitations. Residents also learned about tensions within and between these domains including the skills needed to care for patients versus the skills acquired, a desire for ownership of patient care versus fragmented care, and time allotted versus time required. Discussion This study revealed two outcomes about what residents learn during their ambulatory care experience. First, learning content largely fell into three domains. Second, residents learned about the tensions between ideal care delivery and the realities of practice. These results highlight the imperative to better align curricula with clinical environments to meet the learning needs of residents.
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Affiliation(s)
- David C. Thomas
- Icahn School of Medicine at Mount Sinai, New York, NY, US
- Department of Medicine, Department of Medical Education and Department of Rehabilitation and Human Performance, US
| | - Janneke M. Frambach
- School of Health Professions Education (SHE), Maastricht, University, Maastricht, NL
- Department of Educational Development and Research, NL
| | - Pim W. Teunissen
- School of Health Professions Education (SHE), Maastricht, University, Maastricht, NL
- Department of Obstetrics & Gynecology, Maastricht University Medical Center, Maastricht, NL
| | - Tamara Goldberg
- Icahn School of Medicine at Mount Sinai, New York, NY, US
- Department of Medicine and Department of Medical Education, US
| | - Frank W. J. M. Smeenk
- School of Health Professions Education (SHE), Maastricht, University, Maastricht, NL
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Robinson MA, Bowen JL, van Schaik S. In Reply to Fujikawa and Eto. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:1578-1579. [PMID: 36287717 DOI: 10.1097/acm.0000000000004928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- Margaret A Robinson
- Assistant clinical professor, Division of Critical Care, Department of Pediatrics, University of California San Francisco, San Francisco, California; ; ORCID: http://orcid.org/0000-0003-2634-8331
| | - Judith L Bowen
- Professor and associate dean for curriculum, Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington
| | - Sandrijn van Schaik
- Professor of clinical pediatrics and vice-chair for education, Department of Pediatrics, University of California San Francisco, San Francisco, California
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Fujikawa H, Eto M. What Is the Optimal Amount of Supervision to Induce Residents to Develop Patient Care Ownership? ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:1578. [PMID: 36287716 DOI: 10.1097/acm.0000000000004927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- Hirohisa Fujikawa
- PhD student, Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan; ; ORCID: https://orcid.org/0000-0002-8195-1267
| | - Masato Eto
- Professor, Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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Fujikawa H, Son D, Aoki T, Eto M. Association between patient care ownership and personal or environmental factors among medical trainees: a multicenter cross-sectional study. BMC MEDICAL EDUCATION 2022; 22:666. [PMID: 36076223 PMCID: PMC9461127 DOI: 10.1186/s12909-022-03730-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 08/31/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Patient care ownership (PCO) is crucial to enhancing accountability, clinical skills, and medical care quality among medical trainees. Despite its relevance, there is limited information on the association of personal or environmental factors with PCO, and thus, authors aimed to explore this association. METHODS In 2021, the authors conducted a multicentered cross-sectional study in 25 hospitals across Japan. PCO was assessed by using the Japanese version of the PCO Scale (J-PCOS). To examine the association between personal (level of training, gender, and department) or environmental factors (hospital size, hospital type, medical care system, number of team members, number of patients receiving care, mean working hours per week, number of off-hour calls per month, and perceived level of the workplace as a learning environment) and PCO after adjusting for clustering within hospitals, the authors employed a linear mixed-effects model. RESULTS The analysis included 401 trainees. After adjusting for clustering within hospitals, it was confirmed that the senior residents had significantly better J-PCOS total scores (adjusted mean difference: 8.64, 95% confidence interval [CI]: 6.18-11.09) than the junior residents and the perceived level of the workplace as a learning environment had a positive association with J-PCOS total scores (adjusted mean difference per point on a global rating of 0-10 points: 1.39, 95% CI: 0.88-1.90). Trainees who received calls after duty hours had significantly higher J-PCOS total scores than those who did not (adjusted mean difference: 2.51, 95% CI: 0.17-4.85). There was no clear trend in the association between working hours and PCO. CONCLUSIONS Seniority and the perceived level of the workplace as a learning environment are associated with PCO. An approach that establishes a supportive learning environment and offers trainees a reasonable amount of autonomy may be beneficial in fostering PCO among trainees. The study findings will serve as a useful reference for designing an effective postgraduate clinical training program for PCO development.
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Affiliation(s)
- Hirohisa Fujikawa
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
| | - Daisuke Son
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
- Department of Community-Based Family Medicine, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan
| | - Takuya Aoki
- Division of Clinical Epidemiology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan
- Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
| | - Masato Eto
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
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Whyte MB, Kelly PA. The effect of the electronic health record on consultants' responsibility for patients and their care in general medicine. Future Healthc J 2022; 9:188-189. [DOI: 10.7861/fhj.2022-0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Alsohime F, Alkhalaf H, Almuzini H, Alyahya M, Allhidan R, Assiry G, AlSalman M, Alshuaibi W, Temsah MH, Alakeel A, Aleyadhy A. Pediatric resident's perception of night float system compared to 24 hours system, a prospective study. BMC MEDICAL EDUCATION 2021; 21:23. [PMID: 33407360 PMCID: PMC7789422 DOI: 10.1186/s12909-020-02474-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 12/22/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND The study aims to evaluate the perceptions of pediatric residents under the night float (NF) on-call system and its impact on well-being, education, and patient safety compared with the traditional 24-h on-call system. METHODS The study is prospective in nature and conducted on two pediatric resident training centers who apply the NF on-call system as a pilot project. Senior residents (PGY-3 and PGY-4) enrolled in the two training centers were invited to participate before and 6 months after the implementation of the change in the on-call system. A self-administered online questionnaire was distributed. Responses were rated using a five-point Likert-type scale (1 = strongly disagree; 5 = strongly agree). The items covered three main domains, namely, residents' well-being, ability to deliver healthcare, and medical education experience. Pre- and post-intervention scores were presented as means and compared by t-test for paired samples. RESULTS A total of 42 residents participated in the survey (female = 24; 57.1%). All participants were senior residents; 25 (59.6%) were third-year residents (PGY-3), whereas 17 (40.4%) were fourth-year residents (PGY-4). The participants reported that many aspects of the three domains were improved with the introduction of the NF system. The system was perceived to exert less adverse health effect on the residents (mean: 2.37 ± 1.01) compared with the 24-h on-call system (mean: 4.19 ± 0.60; P < 0.001). In addition, the NF system was perceived to lead to less exposure to personal harm and result in less negative impact on quality of care, better work efficiency, reduced potential for medical errors, more successful teaching, and less disruptions to other rotations compared with the 24 h on-call system (P < 0.001). CONCLUSION The perception of senior residents toward the 24-h on-call system pertains to negative impacts on well-being, education, and patient safety compared with on-call systems with restrictive duty hours, such as the NF system, which is perceived to be less harmful, to exert positive impacts on the quality of delivered healthcare services, and more useful from pedagogic aspect.
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Affiliation(s)
- Fahad Alsohime
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia.
- Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
| | - Hamad Alkhalaf
- General Pediatrics and Complex Care, King Abdullah Specialized Children's Hospital, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Hissah Almuzini
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Malak Alyahya
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Reema Allhidan
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Ghadeer Assiry
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Munirah AlSalman
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Walaa Alshuaibi
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
- Department of Pediatrics, Medical Generics Division, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Mohamad-Hani Temsah
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
- Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Abdullah Alakeel
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
| | - Ayman Aleyadhy
- College of Medicine, King Saud University, P.O. 231418, Riyadh, Riyadh, 11321, Saudi Arabia
- Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia
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Higgins MCSS, Herpy JP. Medical Error, Adverse Events, and Complications in Interventional Radiology: Liability or Opportunity? Radiology 2020; 298:275-283. [PMID: 33320064 DOI: 10.1148/radiol.2020202341] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Mikhail C S S Higgins
- From the Department of Radiology, Boston Medical Center, 820 Harrison Ave, FGH Building 4th Floor, Boston, MA 02118 (M.C.S.S.H.); and Department of Radiology, Boston University School of Medicine, Boston, Mass (J.P.H.)
| | - James P Herpy
- From the Department of Radiology, Boston Medical Center, 820 Harrison Ave, FGH Building 4th Floor, Boston, MA 02118 (M.C.S.S.H.); and Department of Radiology, Boston University School of Medicine, Boston, Mass (J.P.H.)
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